 
          76
        
        
          Ruocco, John, 44
        
        
          Ruocco, Kim, 44–46
        
        
          Saarela, Jan, 26–27
        
        
          sadness, depression
        
        
          vs.
        
        
          ,
        
        
          19–20
        
        
          schizophrenia, 23
        
        
          Schuchat, Anne, 4, 7
        
        
          Service Women’s Action
        
        
          Network, 10–11
        
        
          Sessions, Roy B., 26
        
        
          Shneidman, Edwin S., 53
        
        
          Sibling Survivors of Suicide
        
        
          Loss, 71
        
        
          Simmons, Rachel, 34–35
        
        
          social media, 34–36
        
        
          Sosangelis, Joanne, 47–49
        
        
          Spade, Kate, 4,
        
        
          5
        
        
          Stage, Dese’Rae L., 41
        
        
          Substance Abuse and
        
        
          Mental Health Services
        
        
          Administration (SAMHSA), 53
        
        
          substance use, 5–6, 18, 24
        
        
          as factor in suicide,
        
        
          25
        
        
          Suicide Awareness Voices of
        
        
          Education, 20
        
        
          suicide ideation, 21
        
        
          among people with
        
        
          depression, 21–22
        
        
          increase in girls seeking
        
        
          treatment for, 34
        
        
          risk assessment and, 58–59,
        
        
          62
        
        
          suicide prevention apps, 57
        
        
          suicide(s)/suicide rate, 4, 5,
        
        
          27
        
        
          American culture and, 28
        
        
          among children, 50–51
        
        
          among elderly, 54
        
        
          among military veterans,
        
        
          9–10
        
        
          among women
        
        
          vs.
        
        
          men, 9
        
        
          demographics and rise in,
        
        
          54–55
        
        
          economic costs of, 14
        
        
          factors contributing to,
        
        
          25
        
        
          by firearms, 61–63
        
        
          numbers of, in 2017, 6
        
        
          occupations with high risk of,
        
        
          11–15
        
        
          populations with high risk of,
        
        
          15–18
        
        
          underreporting of, 17
        
        
          warning signs for risk of,
        
        
          69
        
        
          See also
        
        
          survivors; teen
        
        
          suicide
        
        
          surveys
        
        
          on major problems facing
        
        
          teens, 40
        
        
          on prevalence of
        
        
          cyberbullying, 36
        
        
          on school pressures, 39–40
        
        
          survivors, 6, 27
        
        
          of child’s suicide, 51–52
        
        
          coping mechanisms used
        
        
          by, 49–50
        
        
          guilt felt by, 42–44